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Carl Owen Reese
Peer Specialist in Tahlequah, Oklahoma
NPI 1356113526

Carl Owen Reese is a Peer Specialist based in Tahlequah, OK. Carl Owen Reese practices in Tahlequah, OK. The NPI Number for Carl Owen Reese is 1356113526 and holds a License No. (Oklahoma).

The current practice location address for Carl Owen Reese is 1101 S Muskogee Ave Unit 2043, Tahlequah, OK and can be reached out via phone at 918-931-5369.

Location: 1101 S Muskogee Ave Unit 2043, Tahlequah, OK, 74464-4735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356113526
Provider Name
Carl Owen Reese
Credential
Provider Entity Type
Individual
Gender
Male
Address
1101 S Muskogee Ave Unit 2043, Tahlequah, OK, 74464-4735
Phone Number
918-931-5369
Fax Number
Provider Enumeration Date
10/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 S Muskogee Ave Unit 2043
City
Tahlequah
State
Oklahoma
Zip
74464-4735
Phone Number
918-931-5369
Fax Number
person
Provider Business Mailing Address Details
Address
1101 S Muskogee Ave Unit 2043
City
Tahlequah
State
Oklahoma
Zip
74464-4735
Phone Number
918-931-5369
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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